MEDICARE: JEFFREY DEAN PHILLIPS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC2099	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811974900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY DEAN PHILLIPS OD

Provider Business Mailing Address
First Line	:	1903 TYRONE BLVD.
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710
Country	:	US
Telephone Number	:	727-345-4035
Fax Number	:	727-384-3112

Provider Business Practice Location Address
First Line	:	1903 TYRONE BLVD N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-4841
Country	:	US
Telephone Number	:	727-345-4035
Fax Number	:	727-384-3112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	11/04/2009

Similar Medicare Providers

1245256163 — SALIL G JACOB MD
Practice Location Address:

1907 TYRONE BLVD N
ST PETERSBURG, FL
33710-4841

Practice Phone: 727-317-2117
Practice Fax: 727-317-2104

1437177789 — DR. SUSAN WEST PHILLIPS O.D.
Practice Location Address:

1903 TYRONE BLVD N
ST PETERSBURG, FL
33710-4841

Practice Phone: 727-345-4035
Practice Fax: 727-384-3112

1164522215 — NURSECORE MANAGEMENT SERVICES LLC
Practice Location Address:

1919 TYRONE BLVD N
ST PETERSBURG, FL
33710-4841

Practice Phone: 727-345-7009
Practice Fax: 727-345-6393

1649362989 — JEFFREY D. PHILLIPS, O.D., P.A.
Practice Location Address:

1903 TYRONE BOULEVARD N
SAINT PETERSBURG, FL
33710-4841

Practice Phone: 727-345-4035
Practice Fax: 727-384-3112

1508096694 — HAL BISHOP, LCSW, PA
Practice Location Address:

1905 TYRONE BLVD N
ST PETERSBURG, FL
33710-4841

Practice Phone: 727-347-3284
Practice Fax: 727-347-4472

1477854156 — JEFFREY T. SMITH, PH.D., P.A.
Practice Location Address:

1905 TYRONE BLVD N
ST PETERSBURG, FL
33710-4841

Practice Phone: 727-347-3284
Practice Fax: 727-347-4472

Directions to “ JEFFREY DEAN PHILLIPS OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.